cms_TN: 2476

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

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rowid	facility_name	facility_id	address	city	state	zip	inspection_date	deficiency_tag	scope_severity	complaint	standard	eventid	inspection_text	filedate
2476	MAPLEWOOD HEALTH CARE CENTER	445412	100 CHERRYWOOD PLACE	JACKSON	TN	38305	2018-01-26	698	D	0	1	XVIH11	NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on policy review, medical record review, and interview the facility failed to ensure communication between the facility and the [MEDICAL TREATMENT] clinic for 1 of 1 (Resident #438) sampled residents reviewed for [MEDICAL TREATMENT]. The findings included: 1. The facility's [MEDICAL TREATMENT], residents': Coordination of Care and post-Care policy with a revision date of 10/13/17 documented, .All nursing personnel will be responsible for providing safe, accurate, appropriate [MEDICAL TREATMENT] care with a general coordination between outside agencies that provide [MEDICAL TREATMENT], post care assessment and interventions to improve resident outcomes .A [MEDICAL TREATMENT] Communication Form is initiated and sent to the [MEDICAL TREATMENT] center each appointment and ensure the form is received back from the clinic .The [MEDICAL TREATMENT] center will notify the facility of the following .Fluid intake and output during treatment .Post-[MEDICAL TREATMENT] .Review [MEDICAL TREATMENT] communication for pertinent information .Monitor lab work .Notify physician as ordered or when lab values are abnormal . 2. Medical record review revealed Resident #438 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. The physician's orders [REDACTED].RESIDENT TO RECEIVE [MEDICAL TREATMENT] ON TUESDAY, THURSDAY, AND SATURDAY . The admission Minimum Data Set ((MDS) dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 15, which indicated no cognitive impairment, and received [MEDICAL TREATMENT] services. The care plan dated 1/17/18 documented, .Potential for complications r/t (related to) [MEDICAL CONDITION] .is on [MEDICAL TREATMENT] .ordered 3 x (times) wkly (weekly) .Communicate with [MEDICAL TREATMENT] center .coordinate resident's care with [MEDICAL TREATMENT] center prn (as needed) . The nurse's note dated 1/24/18 at 3:57 PM, documented, .LATE ENTRY FOR 1-24-18 .TALKED TO (named [MEDICAL TREATMENT] Registered Nurse (RN)) .NURSE STATED .(named Resident #438) WAS NOT DIALYZED ON YESTERDAY .THIS NURSE TOLD (named [MEDICAL TREATMENT] RN) THAT I WAS NOT AWARE THAT RESIDENT WAS NOT DIALYZED ON YESTERDAY AND WANTED TO KNOW WHY WERE NOT INFORMED,AS THAT WAS VITAL INFORMATION PERTAINING TO RESIDENT'S CARE. (Named [MEDICAL TREATMENT] RN) STATED .I AM A TRAVELING NURSE .I WAS NOT HERE YESTERDAY . The [MEDICAL TREATMENT] communication forms were reviewed from admission to present. The only forms available were dated 1/9/18, 1/11/18 (missed treatment, hospitalized ), and 1/18/18. Interview with the Director of Nursing (DON) on 1/25/18 at 9:05 AM, in the activities room, the DON was asked how she expected nurses to communicate with the [MEDICAL TREATMENT] center. The DON stated, We send a packet with them each time when they go to [MEDICAL TREATMENT]. Sometimes they don't send them back. The DON was asked what she expected nurses to do if the [MEDICAL TREATMENT] center did not send back the form. The DON stated, .try to call them . Interview with Licensed Practical Nurse (LPN) #4 on 1/25/18 at 10:15 AM, on the 300 hall, LPN #4 was asked if Resident #438 brought any forms or paperwork from [MEDICAL TREATMENT] when she returned from [MEDICAL TREATMENT] on Tuesday (1/23/18). LPN #4 stated, Not to my knowledge. LPN #4 was asked what she sent with Resident #438 when she went to [MEDICAL TREATMENT]. LPN #4 provided the packet that she sent with the resident to [MEDICAL TREATMENT]. It contained a facesheet, a list of diagnoses, a history and physical dated 12/21/17, and the physician's orders [REDACTED].#4 was asked whether there were any forms she filled out and sent with the resident. LPN #4 stated, No. LPN #4 was asked whether the pre-[MEDICAL TREATMENT] weights and vital signs were done at the [MEDICAL TREATMENT] center. LPN #4 nodded her head and stated, I'm sure. The facility was unable to provide documentation of communication between the [MEDICAL TREATMENT] center and the facility.	2020-09-01